Category: Blog

By Dr. Honor Young, Deputy Director, SHRN

A Global Gathering for Adolescent Health

The recent HBSC (Health Behaviour in School-aged Children) Conference in Athens brought together 121 delegates from 39 of the 51 member countries and regions. This vibrant event marked only the second time Greece has hosted the conference in the past two decades—making it a particularly special occasion.

Day 1: Setting the Stage

The conference opened with updates from the International Co-ordinating Committee, followed by inspiring keynote addresses. Prof. Oddrun Samdal set the tone, and we heard powerful reflections from João Breda (WHO Athens) and senior officials from the Greek Ministries of Health and Education.

Their messages underscored the critical role of international collaboration in advancing public health.

This collaboration is exemplified by the strategic integration of HBSC within SHRN since 2013, which has significantly improved response rates and expanded the national sample in Wales.

Key Highlights:

• Presentation of eight HBSC trend reports on topics like social inequalities, sexual health, and mental health.
• Sophie Jullien shared the WHO’s renewed strategy for child and adolescent well-being.
• We were particularly thrilled to see Wales receive recognition for its integration of HBSC into the The School Health Research Network (SHRN) – a model for effective monitoring and school-level health planning. Our model, which combines international data with SHRN’s national infrastructure, has been internationally recognised as a best-practice approach for school-level health action planning.

Focus Groups & Country Collaborations

Delegates joined focus groups aligned with their expertise ranging from violence prevention to eating and dieting. Our country cluster (England, Ireland, Scotland, Wales, and Canada) also met for some lively discussions on school recruitment and data sharing.

Wales was proud to present its approach through our bespoke school reports, digital dashboards, webinars, newsletters, and events. These tools not only support schools but also demonstrate how SHRN uses HBSC data to drive policy-relevant research and improve youth health outcomes.

A Touching Performance

A standout moment was a musical performance by En-Techni Psyhi, a group of mental health service users and community members. Their performance promoted destigmatisation through music; an emotional and memorable experience.

Planning Ahead

In the afternoon, we met with our specialised working groups to plan the next survey round. A proud moment came when Kelly and I were elected as Co-Principal Investigators for Wales; a role we’re honoured to take on. We also bid a heartfelt farewell to Dr. Chris Roberts, whose contributions to HBSC have been invaluable.

Day 2: Deep Dives & Collaboration

Participation in HBSC allows SHRN to contribute to and benefit from global knowledge exchange, ensuring that Wales remains at the forefront of adolescent health research.

The second day encouraged cross-disciplinary dialogue through morning cross-focus group meetings. Later, topic-specific sessions allowed for deeper exploration of key areas.

Development Groups

Post-lunch, we joined development groups tackling such as policy, methodology, chronic conditions, and qualitative validation methods

A Personal Highlight

I had the privilege of chairing a parallel health session featuring outstanding presentations from the Lithuanian, Dutch, and Belgian (Flemish) teams. The day concluded with a warm and lively dinner at a local restaurant—strengthening friendships and future collaborations.

Day 3: Closing Insights & Looking Ahead

The final day took us to the stunning National and Kapodistrian University of Athens, where we wrapped up with discussions on multi-level modelling and data optimisation.

The closing plenary was a fitting end to a truly inspiring event. As we said our goodbyes, the Welsh team left feeling energised and ready for the next chapter.

Final Thoughts

As we continue this work, the SHRN-HBSC partnership remains a cornerstone of our strategy – linking local action with global insight to promote young people’s health and well-being.

The HBSC Conference in Athens was more than just a meeting. It was a powerful reminder of what we can achieve through collaboration, innovation, and shared purpose. As we return to our work in Wales, we’re inspired to keep building on this momentum.

We’re already looking forward to reconnecting at the online meetings in November, and hopefully, attending next year’s conference hosted by the Czech team!

Stay Connected

To stay updated on SHRN and HBSC developments visit our website. 

Visit our website: www.shrn.org.uk

Subscribe to our e–news

Read HBSC trend reports

SHRN is helping schools across Wales put health and well-being at the heart of education. In this blog, Maria Boffey, SHRN’s External Affairs and Knowledge Exchange Manager, shares how schools are using SHRN data to shape strategies, support learners, and create lasting, evidence-informed change….

How SHRN is Helping Build Stronger Schools and Healthier Learners Across Wales

At SHRN, we believe that when learners are healthy and supported, they thrive—not just academically, but socially and emotionally too. That’s why we’re proud to be a trusted partner working with schools across Wales to embed health and well-being into the heart of school life.

Why SHRN Matters

Every two years, SHRN conducts a national data collection involving learners and school staff. This isn’t just a survey—it’s a powerful tool for change.

When schools take part in SHRN’s data collection, they receive tailored, benchmarkable data that offers real value. This data help schools reflect on their current strategies, highlighting what’s working well and where there’s room for improvement. With clear, school-specific insights, teachers can plan targeted interventions that are grounded in evidence and aligned with their unique school context.

Why does this matter? Because healthier learners are better learners. When students feel safe, supported, and well, they’re more likely to attend, stay engaged, and reach their full potential. A strong foundation of health and well-being is essential for academic success and personal growth. That’s why SHRN’s work is so important: it helps schools create the kind of environment where every learner can thrive.

A National Movement

SHRN is part of a wider effort to embed health and well-being into the education system. We work closely with the Welsh Government, Healthy Schools, and Public Health Wales to ensure that school-level data contributes to national understanding and policy development.

As Lynne Neagle AS/MS,  Cabinet Secretary for Education  has highlighted, this work is about more than data—it’s about empowering schools to make meaningful, lasting change:

What We Measure

At SHRN, we know that supporting learners means looking at the full picture. That’s why our surveys explore a wide range of topics that matter deeply to both schools and learners. From mental health and emotional well-being to physical activity, nutrition, substance use, school climate, and pupil voice—our approach is designed to be comprehensive. By giving schools a clearer view of their learners’ experiences, we help them make informed, meaningful decisions that support well-being across the board.

How SHRN Helps Schools Make a Lasting Impact

SHRN equips schools with the tools, training, and connections they need to create meaningful, lasting change. From boosting learner well-being to strengthening community engagement, our approach is designed to be practical and empowering. Schools gain access to high-quality, tailored data that informs planning, supports inspections, and tracks progress over time. We offer professional development opportunities that help staff grow, and we foster a culture of collaboration through a strong network of schools, researchers, and public sector partners. SHRN also helps schools empower young people to take the lead in well-being initiatives, while promoting a positive, inclusive school culture. By using SHRN insights, schools can build stronger relationships with families and local services and embed sustainable improvements that benefit the whole school community.

What Schools Are Saying

The most meaningful insights into SHRN’s impact come directly from the schools we work with and inspire our work:

Celebrating the Power of  an Evidence-Informed Approach

We’ve explored how SHRN is supporting schools across Wales to place health and well-being at the centre of education. From providing high-quality, tailored data to fostering collaboration and professional growth, SHRN is helping schools make informed, meaningful changes that benefit learners and staff alike.

The voices of schools themselves speak volumes—showing how SHRN data is being used to shape responsive curricula, support inspections, and strengthen whole-school approaches to health and well-being. These real-world school examples remind us that when schools are equipped with the right tools and insights, they can create environments where every learner has the opportunity to thrive.

At its core, SHRN is about partnership, evidence, and impact. And as schools continue to engage with the network, the collective effort to build stronger, healthier learning communities grows even stronger.

Explore More and Stay Connected

Visit our page to read real examples of how schools are using SHRN data to drive positive change.

Sign up to our e-bulletin to stay up to date with the latest SHRN insights, resources, and opportunities.

Let’s keep the conversation going—and continue building stronger schools and healthier learners together.

The impact of social media on young people’s well-being has sparked widespread debate, driving researchers to explore its complexities in greater depth. At DECIPHer, Cardiff University, Dr. Rebecca Anthony and her colleagues have provided valuable insights into this connection, utilising SHRN data in their study: Young People’s Online Communication and its Association with Mental Well-being: Results from the 2019 Student Health and Well-being Survey.

Maria Boffey, SHRN External Affairs and Knowledge Exchange Manager, delves into this study insights which highlights the importance of understanding the nuanced relationship between social media and young people’s mental health…

The Rise of Online Communication Among Young People

Online communication plays a central role in the lives of young people across the UK. The statistics are striking—a vast majority of 12 to 15-year-olds are active online, while mobile phone ownership is becoming increasingly common among even younger children. With this growing digital presence come conversations and concerns about the effects of social media on mental health. According to recent statistics, 99% of 12- to 15-year-olds are connected to the internet, and 95% report using social media before and after school daily (Home Office, 2020).

Mixed Evidence on Social Media and Mental Health

Dr. Rebecca Anthony highlights a key point: the evidence regarding social media’s impact on mental health is mixed. While some studies indicate small but significant associations with mental health, others find no substantial link. This disparity might be attributed to varying research methods, the ever-evolving digital landscape, and the complex way social media interacts with factors like sleep, physical activity, and cyberbullying. She emphasises that researchers must go beyond simplistic metrics like screen time and investigate what young people are doing online, the motivations behind social media use, as well as identify potentially vulnerable groups of young people.

Introducing SHRN Data

Using data from The SHRN Student Health and Well-being Survey in Secondary Schools 2019, the study team explored critical topics such as mental health, online communication, cyberbullying and relationships. This data served as a foundation for her research, providing valuable insights into the health and well-being of young people, and the factors influencing it.

Key Findings on Social Media Use Among Secondary School Learners

Using data from the 2019 survey, the study explored how online communication relates to mental health among secondary school learners aged 11 to 16 years. The investigation revealed important trends:

• Strong Engagement: 82% of learners connect with their closest friends online daily.
• Positive aspects: Frequent online interaction with friends from real-life and larger friendship circles is associated with improved well-being.
• Negative Impacts: Conversely, frequent contact with virtual friends- those made exclusively online—is linked to lower well-being, especially for girls.
• Cyberbullying: 13% of learners reported being victims of cyberbullying.
• Escapism: 40% admitted using social media to escape negative emotions.

Implications for Supporting Young People’s Well-being

These findings underline the dual nature of social media—it can foster meaningful connections while also posing risks for certain groups. Potentially vulnerable demographics, such as adolescent girls communicating with online-only friendships, require particular attention. Addressing these challenges demands a nuanced approach to understanding young people’s social media habits and their broader impact on mental health.

The findings of the study suggest that focusing solely on the amount of time spent online may oversimplify the issue, neglecting important nuances such as the nature of online activities and interactions. Instead of placing excessive emphasis on monitoring and regulating online communication, educators, parents and carers should recognise the potential benefits of engaging with established friendship groups online, while also working to minimise any associated risks. Such efforts to enhance young people’s well-being should take these positive connections into account.

Expanding Research Using SHRN Data: Younger Age Groups

A new study led by SHRN Research Associate Shujun Liu aims to expand SHRN research to primary schools, broadening its scope beyond secondary school learners.

This holistic approach will ensure ensures a comprehensive understanding of how social and environmental factors impact the well-being of children across different stages of their education. Watch Shujun’ s webinar here.

SHRN Data: Driving Impactful Research and Policy Changes

The SHRN Student Health and Well-being Survey is a cornerstone for impactful research, offering critical insights into young people’s lives. By analysing SHRN data, researchers such as  Dr. Rebecca Anthony can explore:

• How social media influences mental well-being.
• Trends in online communication among secondary learners.
• Risk factors affecting vulnerable groups.

Beyond academic research, SHRN findings have real-world applications:

• Policymakers can use these insights to design targeted interventions and allocate resources effectively.
• Schools can implement educational initiatives to teach children and young people how to navigate the digital world safely. For example, the identification of adolescent girls at higher risk due to online-only friendships provides a data-driven foundation for developing support programmes.

Conclusion

As SHRN continues its efforts, these insights pave the way for informed strategies to promote healthy digital practices and support the health and well-being of children and young people across Wales and beyond . With the combined focus on secondary and primary schools, this comprehensive approach will undoubtedly contribute to creating an environment that prioritises the mental health and well-being and development of all ages of education.

To read more about the study click here.

To dive deeper into this important research,  watch Rebecca’s webinar.

Click here to access the SHRN blog.

At Ysgol Aberconwy, our commitment to the holistic development of our learners – academically, emotionally, and physically – has always been at the heart of what we do. Working with The School Health Research Network (SHRN) has helped us generate robust and actionable data that allowed us to fully understand our learners’ health and well-being. With this valuable insight, we were able to identify specific issues and take targeted, impactful actions to enhance our learners’ health and well-being. 

Real-Life Impact: Learners Stories That Inspire Change  

One of the most rewarding aspects of our sleep initiative has been hearing the personal stories from our learners.  

James, Year 10:

Sophie, Year 8:

Liam, Year 11:

Emily, year 9:

These personal testimonials highlight the real-life impact of our efforts and motivate us to continue our work. 

Effective Strategies: How We Tackled Learner’s Sleep Challenges  

To address the sleep challenges identified through our school’s SHRN data, we implemented several strategies. We educated learners about circadian rhythms (a pattern the human body follows based on a natural and internal 24-hour clock) and encouraged them to use tools like blue light filtering settings and sunrise alarms. These tools help regulate sleep patterns by reducing exposure to blue light and simulating natural sunlight in the morning.  

We also developed slogans and visual campaigns to keep sleep at the forefront of everyone’s mind. For example, the learner led iACh group (ie learners involved in the development and delivery of various health and well-being initiatives) created default desktop backgrounds for all learner and staff computers, that detailed catchy, thought-provoking slogans, such as ‘This third of the day will have the biggest impact on the other two thirds’ to understand the impact of sleep on learners’ health and well-being. 

Additionally, Huw Evans, The Welsh Network of Health and Well-being Promoting Schools (WNHWPS) Healthy School Co-ordinator for Conwy, played a crucial role in helping us engage with our SHRN data. This led to the identification of sleep as a priority area, and he supported us in exploring a range of implementation strategies 

Overcoming Obstacles: Turning Challenge into Active Participation

Implementing these initiatives wasn’t without its challenges. Initially, some learners were relucent to change their habits, especially when it came to reducing screen time. To address this, we engaged them in the data and discussion, helping them understand the importance of sleep, and encouraged active participation in the initiatives. 

A Ripple Effect: The Broader Benefits of Better Sleep on Health and Well-being 

Improved sleep has had a ripple effect on other areas of our learners’ lives. Teachers have reported better focus and engagement in class, with one teacher stating “Since our students improved their sleep habits, we’ve seen a noticeable boost in their focus, participation, and overall engagement in lessons. They’re more alert, less stressed, and seem to approach learning with a more positive attitude. Better sleep has also improved their emotional well-being, helping them stay calm under pressure and more motivated. Overall, they’re healthier, more balanced, and ready to succeed both in and out of the classroom. It’s clear that sleep plays a crucial role in their health and well-being and academic success.” 

These holistic benefits underscore the importance of addressing sleep as a key component of learner health and well-being. 

Looking Ahead: Future Plans to Enhance Learner Health and Well-being 

Looking ahead, we are excited to continue using our SHRN data to inform our decisions on how we can further improve the health and well-being of our learners. We plan to explore other aspects of health and well-being, such as nutrition and physical activity, and implement targeted initiatives based on our data insights. 

Teamwork at Its Best: How Collaboration Powered Our Success 

Our success wouldn’t have been possible without the support of our external partners, including local health organisations and The Welsh Network Health and Well-being Promoting Schools (WNHWPS), and Third Sector organisations such as The Sleep Charity. Their expertise and resources have been invaluable in delivering effective support to our learners. 

Parents and carers also played a vital role in supporting the movement to improve learners sleep habits, actively participating in engagement sessions led by learners themselves. Together they developed practical advice on how families could support better sleep at home, helping to reinforce healthy habits. Key recommendations included establishing a consistent sleep schedule, creating a relaxing bedtime routine, and limiting screen time before bed to ensure better sleep quality. Additional guidance emphasised the importance of a comfortable sleep environment, educating their children about sleep hygiene, and encouraging physical activity to promote restful sleep. Parents and carers were also encouraged to set a positive example by demonstrating good sleep habits themselves. Communication and collaboration with school initiatives were highlighted as essential to supporting these efforts at home, reinforcing the connection between sleep, health and well-being, and academic success. 

Here’s what one parent had to say about their involvement and how it has benefited the whole family’s attitude and approach towards sleep: 

Simple Steps, Big Impact: Practical Tips for Better Sleep  

For those looking to improve their own sleep habits, we recommend focusing on sleep hygiene practices (healthy habits that you can practice during the day to help you get a good night’s sleep). This includes maintaining a consistent sleep schedule, creating a relaxing bedtime routine, and minimising exposure to screens before bed. Understanding the importance of sleep and taking proactive steps can lead to significant improvements in overall health and well-being. 

Encouraging Schools to Prioritise Sleep and Health and Well-being 

We encourage other schools to consider similar initiatives and to utilise their SHRN school data to inform their health and well-being strategies. By sharing our experiences and insights, we hope to encourage a greater movement towards healthier, positive school communities. 

Final Thoughts: How SHRN Data is Shaping a Healthier Future for Learners 

In conclusion, our work with our SHRN data has been incredibly rewarding, and we are excited about the future. We believe that by prioritising our learners’ health and well-being, we are not only enhancing their academic success but also fostering a healthier, more resilient generation of learners. 

Further Resources: New Insights on the Power of Sleep for Health and Well-being 

New #BeeWell research has highlighted the importance of good sleep habits for young people’s overall health. The study revealed that girls’ sleep and mental well-being are closely linked. When girls reported getting enough sleep, they reported better mental wellbeing one year later. Read more about the study here.  

Please note: The names used in this blog have been changed to protect the privacy of individuals. 

About the Author  

Rhydian is the Director of Learning at Ysgol Aberconwy Secondary School, where he is responsible for the health and well-being of both learners and staff. 

He coordinates the Personal, Social, Health, and Relationship and Sexuality Education (PSHE) curriculum and oversees the school’s House charity system. (Please note, while Personal and Social Education (PSE) is the term used in Wales, Ysgol Aberconwy prefers to use the term PSHE to reflect the inclusion of health in their PSE curriculum).  

With 19 years of experience as a Physical Education teacher, Rhydian is passionate about promoting healthy lifestyle behaviours that enhance the health span of the entire school community. 

As SHRN welcomes Dr. Kelly Morgan as its new Director. Kelly, in this blog,  reflects on past successes and outlines plans to expand school partnerships, engage primary schools, and launch a school-level dashboard.

Written by Dr Kelly Morgan

I’m honoured to step into the role of Director of The School Health Research Network (SHRN), following my time as Deputy Director. First, I want to acknowledge the exceptional leadership of my predecessor, Professor Simon Murphy. His dedication and foresight have been instrumental in establishing SHRN as a world-leading network. To all our partners—from school leaders and educators to policy and practice colleagues—I want to reassure you that SHRN’s foundation remains unwavering. Our commitment to collaboration, delivering high-quality data, and co-producing impactful work with schools will continue to be central to our mission. Providing meaningful, timely, and accessible feedback that drives evidence-informed actions to improve learner health and well-being remains our priority.

Our Vision Moving Forward

My vision for SHRN is grounded in both continuity and bold ambition. I aim to deepen our partnerships with schools while strengthening our impact through practical tools, expanded engagement with primary schools, and closer collaboration with key organisations such as Welsh Government and Public Health Wales.

A Leader with Expertise and Vision

As a Senior Research Fellow at the School of Social Sciences and former Deputy Director of SHRN, I bring a wealth of experience in public health research- co-producing and evaluating interventions that support children and young people’s health and well-being. My skills and experience in data linkage help SHRN investigate the wider systems and social factors that affect learners’ outcomes. Recently, I’ve taken the lead in expanding SHRN into primary schools , ensuring we include the perspectives of younger children to guide early prevention efforts.  I’m also passionate about promoting physical activity and sport as integral aspects of a healthy lifestyle—an area that continues to inspire my work and my commitment to enhancing learner health and well-being across Wales.

A Proud Past and an Ambitious Future

Reflecting on SHRN’s journey so far, I am reminded of the incredible collaborations that have driven our success. For example, our partnership with schools has led to tangible improvements in learners’ health and well-being. A particularly memorable moment was

listening to school practitioners describe how learner voice groups have used their school’s SHRN report to drive actions like promoting healthier sleep, including delivering education sessions for parents and carers which showcased the power of collective action and evidence-informed practices.

As we embark on this new chapter, our focus will remain steadfast: combining innovation and collaboration to create meaningful change. SHRN will soon launch an innovative school-level dashboard for secondary schools, offering customised insights to empower them in understanding and improving their learners’ health and well-being outcomes.

I’m incredibly proud to work alongside such a talented and dedicated team within SHRN. Their expertise, creativity, and unwavering commitment are at the heart of the network’s success. Their wealth of knowledge and experience ensures that SHRN remains at the forefront of school health innovation. Moving forward, I’m equally committed to continuing to build strong partnerships  and collaborations across the wider network — with school leaders, policymakers, and practitioners. It is through these trusted partnerships that we can continue to grow, innovate, and make meaningful changes of children and young people’s health and well-being.

Thank you for your continued support — I look forward to working with you in this next chapter.

Warm regards,

Dr. Kelly Morgan, Director, SHRN

As we embark on this exciting new chapter, I warmly invite all partners to actively collaborate with SHRN. Whether by sharing your insights, participating in our events and webinars, or leveraging the resources we provide, your involvement is vital to our shared success. Together, we can drive innovative solutions and lasting improvements for schools and learners across Wales

Subscribe to our e-digest to stay informed and be part of SHRN’s ongoing journey to improve health and well-being in schools worldwide.

Showcasing Emotional and Mental Well-being

In support of The SHRN Student Health and Well-being Survey in Primary Schools, the SHRN team recently showcased emotional and mental well-being activities at events hosted by the WNHWPS Cardiff and Vale Healthy Team. These events provided a platform for schools to discuss their practices and explore the Welsh Government’s ‘Framework on Embedding a Whole School Approach to Emotional and Mental Well Being.’ Attendees, including Barnardo’s, Cardiff and Vale University Health Board, the NSPCC, and Public Health Wales, shared insights and experiences. Throughout the events, schools referenced the valuable data driven insights gained from their SHRN reports, using data to identify key areas for development. This SHRN data-driven approach has become a vital tool for schools in their self-evaluation of the Whole School Approach. Additionally, we engaged participants with an interactive arts-based activity focused on emotional and mental well-being.

Data Driven Insights

Throughout the event, many schools referenced the valuable insights they’ve gained from their SHRN school level report and data. By analysing their bespoke data, these schools have been able to identify key areas of development for learner health and well-being. This SHRN data-driven approach has become a vital tool for schools in their self- evaluation of the Whole School Approach.

Engaging Activities

In addition to the school presentations, we were also invited to engage participants – both learners and teachers – with an interactive activity that tied directly into the central themes of emotional and mental well-being. Wanting to offer something engaging, creative and memorable, we turned to arts-based research methods.

Creative Methods in Action

Cardiff University’s School of Social Sciences has a strong tradition of using creative and arts-based methods to help people explore and communicate complex and challenging topics. These include the experiences of looked-after children (Mannay et al. 2023), young people’s experiences on gender and sexuality (Timperley 2024), and online social and romantic relationships (Marston 2023).

When topics are hard to talk about, or have strong embodied and emotional qualities, creative activities – like making cut-up poetry, building with clay, sandboxing and painting – can help people express their feelings in a way that words sometimes can’t.

Though we weren’t conducting formal research at the event, we felt these creative methods might support children and adults attending to carefully consider their own experiences of mental and emotional well-being – and to connect the SHRN Student Health and Well-being Survey in Primary Schools to their own lived experiences and work contexts.

The Wyred Bodies Activity

Knowing we’d only have a short time to engage with the attendees, we decided to use an activity called ‘Wyred Bodies’, which was featured in the Primary AGENDA resource in collaboration with the Children’s Commissioner for Wales, NSPCC Cymru, and Welsh Women’s Aid.

This activity invites participants to create little figures using pipe cleaners, craft wire, or wax yarn, which can be shaped into different poses. Participants are then invited to ‘guess the feeling’ expressed by the poses of one another’s figures. The exercise invites participants to question whether our feelings are always visible – and when they are visible, whether our feelings might look similar to, or different from, those of other people.

A Successful Engagement

To our delight, the activity was a huge hit! By the end of the day our SHRN stand festooned with small colourful figures of different shapes, sizes and poses. The children returned to collect their creations and take them home. One learner even expressed how much she enjoyed the activity and asked her teacher if they could do it again at school!

Conclusion

Although we didn’t have much time to dive into the details of the activity with everyone who stopped by, we hoped that by discussing the SHRN Student Health and Well-being Survey in Primary Schools in such a fun and supportive setting – while making and posing the expressive little figures – encouraged attendees of all ages to consider the importance of supporting emotional and mental well-being, whilst also highlighting how emotions can be diverse and hard to fully capture in just one expression or form.

Get involved and make a difference! Read our latest blog posts to discover innovative ways to support emotional and mental well-being in schools.

Follow us on Bluesky and LinkedIn for more updates and resources from SHRN. Together, we can create healthier, happier learning environments for all learners in Wales!

About the Authors

Dr. Max R Ashton, Research Assistant

I joined the DECIPHer April 2024, as a research assistant supporting the activities of SHRN. I have a long history as a student at Cardiff University (BSc Human and Social Sciences, MSc Social Science Research Methods, PhD) which began in 2016. My academic background incorporates critical social Psychology and Education, with a specific research focus on school-based relationships and sexuality education (RSE). My PhD research incorporated diverse qualitative methods within a novel ‘post-qualitative’ theoretical approach, to explore Welsh teachers’ and pupils’ experiences of RSE provision during the rollout of the national Curriculum for Wales. My research interests include gender and sexuality, theorising complexity within organisations, and exploring the processes by which policy is translated into practice in education.

Charlotte Wooders, Engagement Manager

Charlotte is responsible for delivering knowledge exchange and engagement activities, bringing together the SHRN team, partners who use our research and wider communities to share ideas, evidence, and expertise. She also works with schools and partners across Wales, to showcase and demonstrate the impact of SHRN data, in how it creates a real and positive difference to the health and well-being of children and young people. Charlotte has previously worked in the third sector, delivering regional and national programmes and co-production initiatives to support and improve practice and policy outcomes for vulnerable children, young people, and families. She has also previously contributed to several DECIPHer and CASCADE publications and research studies, supporting stakeholder engagement and knowledge exchange activities.

As a member of the research team for the study titled Change over time in perceived schoolwork pressure and associations with emotional problems among 11–16-year-olds: A repeat cross-sectional study in Wales, I was involved in exploring a pressing issue: the surge in emotional problems among young people in Wales. This alarming trend has left many of us wondering why it’s happening, yet there are so few studies investigating the underlying causes. That’s why our research is both timely and crucial. By leveraging data from The School Health Research Network (SHRN), we uncovered trends in emotional problems and perceived schoolwork pressure, shedding light on the challenges faced by today’s young people.

Did you know that one in four learners in Wales reported experiencing significant schoolwork pressure in 2021?

This was one of the key findings from our study, which used secondary data spanning 2002 to 2021. The study aimed to examine trends in perceived schoolwork pressure and emotional problems in Wales over this period, and to determine if changes in schoolwork pressure could explain the rise in emotional problems.

Prior to conducting this study, I spoke with members of our Youth Advisory Group at the Wolfson Centre for Young People’s Mental Health – Cardiff University at Cardiff University. They shared concerns about the amount of schoolwork and exams that they have, and how they feel pressured to excel to get into university. Speaking to the young people highlighted just how important it is to understand and address these school-related pressures.

Since 2009, the number of learners in Wales reporting schoolwork pressure has nearly doubled, with around 26% feeling a lot of pressure in 2021. This pressure was most commonly reported by older girls and explained some of the rise in emotional problems among young people. These findings highlight an important public health concern. Young people in Wales are experiencing increased levels of schoolwork pressure, which are consistently associated with higher levels of emotional problems.

Why are young people experiencing increased pressures?

The study utilised secondary data from The Health Behaviour in School-aged Children (HBSC) study and survey data from The School Health Research Network (SHRN). These surveys included nationally representative samples of secondary school pupils in Wales from 2002 to 2021, encompassing data from over 300,000 individuals. The proportion of young people in Wales perceiving a lot of schoolwork pressure increased between 2009 and 2021, mirroring similar increases in emotional problems. Understanding why young people are experiencing increased pressures is crucial for public health and could inform interventions to help young people cope with academic and societal demands.

Future studies should investigate whether changes in perceived schoolwork pressure reflect more pressurized school environments, shifts in young people’s or societal expectations, or other challenges affecting young people’s ability to cope. This understanding is key to preventing further increases in schoolwork pressure and young peoples’ mental health and well-being.

Our study raises important concerns about the pressures faced by young people in Wales. The overall increase in schoolwork pressure may have contributed to the rise in emotional problems, particularly among girls. Understanding the reasons behind these pressures is essential to preventing further increases and addressing mental health and well-being issues. A broader cultural shift towards managing academic demands may also be necessary to support the healthy development of future generations.

In conclusion, our study highlights a growing concern: the increasing levels of perceived schoolwork pressure among young people in Wales and its association with rising emotional problems. This trend underscores the urgent need for further research to understand the underlying causes and to develop effective interventions. By addressing these pressures, we can help young people manage academic and societal demands more effectively, ultimately better  supporting their mental health and well-being.

Thank you for taking the time to read about our research. By understanding and addressing the pressures faced by young people today, we can work towards creating a healthier and more supportive environment for future generations of children and young people. 

What do you think are the main reasons behind the increasing schoolwork pressure among young people today?

Do you have any ideas or suggestions for future research on this topic? What aspects do you think need more attention?

Your thoughts and experiences are valuable. Share them with  us by emailing shrn@cardiff.ac.uk.

Read more about this study.

About the author

Dr Jess Armitage

I am a Research Associate based at the Wolfson Centre for Young People’s Mental Health. My research focuses on population changes in child and adolescent mental health. I am particularly interested in time trends and in understanding the factors that may have contributed to recent increases in depression and anxiety. I am also interested in resilience and predictors of positive mental health and well-being and have previously conducted research on resilience following peer victimisation. Read more…

Transitioning from primary to secondary school can be a significant milestone in a young person’s life. While many students navigate this change smoothly, others may find it challenging. A recent study using SHRN data delves into how socioeconomic status (SES) i.e. a family’s economic and social position, determined by factors like income, education, and occupation, might be associated with the transition experience, young people’s mental health and experiences of bullying.

In this blog, Dr Caitlyn Donaldson, Research Associate at The Wolfson Centre for Young People’s Health , Cardiff University, explores how socioeconomic status (SES) impacts these factors during school transitions within the Welsh education system.

The Study’s Focus

In Wales we have increasing numbers of ‘all-through’ or ‘all-age’ schools, where young people can remain in the same school from age 3 to 16 or 18. This provides an interesting natural experience to explore whether mental health and bullying outcomes differ between children who transition to secondary school at age 11 years and those who remain in all-age schools in Wales. It uses advanced statistical methods to compare the outcomes for students in their first year of secondary school.

Key Findings

1. Socioeconomic Status and School Type:
   • Low SES Students: The study found some evidence that students from low SES backgrounds may experience fewer peer problems, conduct issues, and bullying victimisation when attending all-age schools compared to secondary schools.
   • High SES Students: Conversely, students from high SES backgrounds tended to have more positive outcomes in secondary schools.
2. School Connectedness:
   • The research explored whether school connectedness could explain the differences in outcomes but found no evidence that it mediated the relationship between school type and mental health or bullying outcomes. However, high levels of school connectedness were associated with better mental health and lower bullying in both types of school.

Implications for Educators and Policymakers

The findings suggest that all-age schools might help reduce health inequalities caused by SES. For students from low SES backgrounds, the continuity provided by all-age schools could offer a more stable and supportive environment, mitigating some of the challenges associated with transitioning to a new school. Those with high SES may benefit more from transitioning to a secondary school. We suggest that this may be because moving to a new school at the end of year 6 provides greater opportunities for personal growth and development, but only if a child has the coping resources and resilience needed to transition successfully into the new environment.

Conclusion

This study provides valuable insights into how different school structures can impact students’ mental health and experiences with bullying. By understanding these dynamics, educators and policymakers can better support students during critical transition periods, ensuring that all young people have the opportunity to thrive.

Share your experiences, and advocate for policies that promote school connectedness and mental well-being by emailing shrn@cardiff.ac.uk.

For more detailed insights, you can access the full research publication here.

About the author

Dr. Caitlyn Donaldson is a Research Associate at Cardiff University, specialising in the intersection of socioeconomic status, school connectedness, and child health and well-being. With a PhD in the transition from primary to secondary school and its impact on young people’s mental health, Dr. Donaldson’s research focuses on understanding and addressing health inequalities among children. Her recent work includes a comprehensive analysis of The SHRN Student Health and Well-being Survey in Primary schools, highlighting the critical role of school and family socioeconomic status in shaping children’s health outcomes.

In an era where young people’s mental health and physical well-being are frequently in the spotlight, the School Health Research Network (SHRN) stands at the forefront in providing schools and policymakers with robust, actionable data to support the implementation of evidence-informed solutions.

In This Blog, Dr. Nick Page, a  Research Fellow at DECIPHer, and Senior Analyst for SHRN,  gives an insight into the data we collect and how it’s helping to shape a healthier future for the next generation.

Since 2013, The SHRN Student Health and Well-being (SHW) survey in secondary schools has been a cornerstone in understanding and enhancing the health and well-being of adolescents in Wales.

Administered biennially to a large national sample of 11-16-year-olds, the SHW survey covers a range of topics including mental health and well-being, physical activity and nutrition, substance use, sexual health, and social relationships.

Our work has been profoundly significant in helping to establish and embed a national model for data collection and knowledge mobilisation with schools that provides evidence crucial to informing both public health and school health policies, programmes, and interventions aimed at improving the lives of children and young people. School participation in the SHW survey regularly exceeds 90% of maintained secondary schools, with student response rates steadily increasing from 65% in 2017 to 75% by 2023. This equates to over 100,000 11-16-year-olds participating in the survey each round.

Our most recent survey round saw the highest participation to date, with 129,761 11-16-year-olds from 201 schools taking part. This large national sample ensures that the diverse experiences and needs of a wide range of students are represented (including gender and ethnic minorities, young carers, and care-experienced young people), promoting health equity and providing valuable opportunities to better understand health behaviours among minoritized groups.

Data from the SHW survey supports evidence generation in many forms, including:

• Data linkage

• Epidemiological research

• Policy monitoring and evaluation

For example, our data has recently helped to examine trends in young people’s emotional problems in Wales in the years prior to the COVID-19 pandemic, finding a substantial increase between 2013 and 2019 that could not be explained by changes in bullying or friendships. SHW data has also been used to evaluate the impacts on youth vaping following the introduction of EU regulation, while survey responses from consenting students have been successfully linked with routine health records to examine associations between bullying and self-harm.

Every four years, the SHW survey embeds questions from the international Health Behaviour in School-aged Children (HBSC) study – a long-running study of adolescent health supported by the World Health Organisation that began in the 1980s – enabling cross-comparisons with data from 50 countries across Europe and North America.

In a recently published study, data from 35 HBSC countries, including Wales, showed that young people’s physical (e.g. headaches, stomach aches) and mental (e.g. anxiety, irritability) health complaints were substantially higher than expected following the pandemic, based on previous trends.

To increase the visibility of the SHW data within the academic research community, we have recently published a freely accessible data resource profile of the SHW survey within the International Journal of Epidemiology. The purpose of this data resource profile is to provide information to enable researchers to understand the scope of the SHW data and how to access and make best use of it.

In 2024, SHRN took a significant step forward by expanding the SHW survey to include primary schools in Wales. This expansion has allowed us to collect invaluable data on the health and well-being of younger children aged 7-11 for the first time. The initiative aims to provide early insights into the health habits and challenges faced by children, facilitating earlier intervention and support within the educational system. This new dataset complements our existing research and offers a more comprehensive view of youth health across different age groups.

Looking ahead, we’re excited to build on our existing data infrastructure through a further round of data collection in 2025 which will allow us to continue to generate high-quality research evidence to support school health improvement in Wales and beyond.

Share Your Academic Insights: Have you utilised SHRN data in your academic work? Share your findings and insights in the comments below. Your contributions can help shape future health initiatives and interventions, fostering a healthier future for children and young people.

Help spread the word! Share this post with your friends and colleagues to raise awareness about the health and well-being of children and young people and the value of SHRN data.

About the Author

I am a Research Fellow within The School Health Research Network (SHRN) based at the Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), Cardiff University. As programme lead for analysis and outputs in SHRN, my research focuses on advancing adolescent population health through secondary analyses of quantitative data.

My research has explored changes over time in youth smoking and cannabis use, investigated the short-term effects of introducing e-cigarette regulations on youth vaping, and examined potential biases when combining routine data linkage with national surveys of secondary school children. My aim is to generate high-quality evidence that informs public health policies and interventions, ultimately contributing to healthier communities.